130 lines
4.2 KiB
YAML
130 lines
4.2 KiB
YAML
abstract: 'Objectives: The objective is to describe and quantify the impact of a
|
|
|
|
novel practice model for pharmacist involvement in care coordination and
|
|
|
|
patient education in hepatitis C virus (HCV) care.
|
|
|
|
Setting: This practice model was implemented in the gastroenterology
|
|
|
|
clinic at the Richard L. Roudebush Veterans Affairs Medical Center in
|
|
|
|
Indianapolis, Indiana.
|
|
|
|
Practice description: Traditional pretreatment workup for HCV requires
|
|
|
|
multiple on-site appointments to complete imaging and laboratory
|
|
|
|
assessments and for provider and social work appointments. High
|
|
|
|
pretreatment time burden and increasing psychosocial complexity of the
|
|
|
|
patient population present significant barriers to HCV eradication.
|
|
|
|
Patients frequently miss appointments, and each on-site visit creates a
|
|
|
|
separate opportunity for patients to be lost to follow-up.
|
|
|
|
Practice innovation: The pharmacist-driven multidisciplinary
|
|
|
|
pretreatment workup process was launched by HCV pharmacists to mitigate
|
|
|
|
barriers. Patients complete the pretreatment evaluation process, which
|
|
|
|
includes same-day pharmacy education, provider visit, social work
|
|
|
|
assessment, FibroScan, and laboratory assessments, in approximately 2.5
|
|
|
|
hours.
|
|
|
|
Evaluation: Forty-six patients who completed the pharmacist-driven
|
|
|
|
multidisciplinary pretreatment workup process versus 235 patients who
|
|
|
|
completed traditional workup were analyzed for time from date of HCV
|
|
|
|
consultation placement to treatment start and time from most recent HCV
|
|
|
|
provider visit to treatment start.
|
|
|
|
Results: From time of HCV consult entry to date of treatment start,
|
|
|
|
patients were initiated on HCV treatment in an average of 42.2 +/- 7.5
|
|
|
|
days and 184.1 +/- 27.6 days (P = 0.0001) within the intervention and
|
|
|
|
traditional workup groups, respectively. A decreased time from most
|
|
|
|
recent HCV provider visit to treatment initiation was noted between
|
|
|
|
groups with 38.2 +/- 7.1 days and 54.7 +/- 3.6 days (P = 0.04) in the
|
|
|
|
intervention and traditional workup groups, respectively.
|
|
|
|
Conclusion: The pharmacist-driven multidisciplinary pretreatment workup
|
|
|
|
process is an effective way to engage patients and decrease time to
|
|
|
|
treatment initiation. This model could be replicated in other practice
|
|
|
|
settings, especially those challenged by multi-step care coordination.
|
|
|
|
Published by Elsevier Inc. on behalf of the American Pharmacists
|
|
|
|
Association.'
|
|
affiliation: 'Houck, KK (Corresponding Author), 1481 W 10th St, Indianapolis, IN 46202
|
|
USA.
|
|
|
|
Houck, Kelly K.; Ifeachor, Amanda P.; Fleming, Breanne S.; Andres, Audrey M., Richard
|
|
L Roudebush Vet Affairs Med Ctr, Pharm Serv, 1481 W 10th St, Indianapolis, IN 46202
|
|
USA.
|
|
|
|
O''Donovan, Kristin N.; Johnson, Andrew J., Butler Univ, Coll Pharm \& Hlth Sci,
|
|
Indianapolis, IN 46208 USA.
|
|
|
|
Liangpunsakul, Suthat, Indiana Univ Sch Med, Div Gastroenterol \& Hepatol, Dept
|
|
Med, Dept Biochem \& Mol Biol, Indianapolis, IN 46202 USA.
|
|
|
|
Liangpunsakul, Suthat, Richard L Roudebush Vet Affairs Med Ctr, Sect Gastroenterol
|
|
\& Hepatol, Med Serv, 1481 W 10th St, Indianapolis, IN 46202 USA.'
|
|
author: Houck, Kelly K. and Ifeachor, Amanda P. and Fleming, Breanne S. and Andres,
|
|
Audrey M. and O'Donovan, Kristin N. and Johnson, Andrew J. and Liangpunsakul, Suthat
|
|
author-email: kellykyrouac@gmail.com
|
|
author_list:
|
|
- family: Houck
|
|
given: Kelly K.
|
|
- family: Ifeachor
|
|
given: Amanda P.
|
|
- family: Fleming
|
|
given: Breanne S.
|
|
- family: Andres
|
|
given: Audrey M.
|
|
- family: O'Donovan
|
|
given: Kristin N.
|
|
- family: Johnson
|
|
given: Andrew J.
|
|
- family: Liangpunsakul
|
|
given: Suthat
|
|
da: '2023-09-28'
|
|
doi: 10.1016/j.japh.2019.05.003
|
|
eissn: 1544-3450
|
|
files: []
|
|
issn: 1544-3191
|
|
journal: JOURNAL OF THE AMERICAN PHARMACISTS ASSOCIATION
|
|
language: English
|
|
month: SEP-OCT
|
|
number: '5'
|
|
number-of-cited-references: '7'
|
|
orcid-numbers: Johnson, Andrew/0000-0003-0178-1462
|
|
pages: 710-716
|
|
papis_id: 952261e4d0641fc647f51982ecc61afc
|
|
ref: Houck2019pharmacistdrivenmult
|
|
times-cited: '6'
|
|
title: 'Pharmacist-driven multidisciplinary pretreatment workup process for hepatitis
|
|
C care: A novel model for same-day pretreatment workup'
|
|
type: article
|
|
unique-id: WOS:000485792600019
|
|
usage-count-last-180-days: '0'
|
|
usage-count-since-2013: '2'
|
|
volume: '59'
|
|
web-of-science-categories: Pharmacology \& Pharmacy
|
|
year: '2019'
|